Individual
DR. CHARLES H DEBUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 N BROAD ST, NEW TAZEWELL, TN 37825-6600
(423) 626-7297
(423) 626-5553
Mailing address
309 N BROAD ST, P. O. BOX 1409, NEW TAZEWELL, TN 37825-6600
(423) 626-7297
(423) 626-5553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22172
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066508
—
TN
Enumeration date
11/08/2005
Last updated
02/10/2025
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